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PGY-2 Emergency Medicine Rotations

The PGY-2 emergency medicine pharmacy residency focuses on the provision of clinical pharmacy services to Morristown Medical Center. It's designed to build on Doctor of Pharmacy education and PGY-1 pharmacy residency programs. Read descriptions of the required, elective and longitudinal rotations.

Required Rotations

Emergency Medicine Academic

A layered learning model will be applied where the EM resident acts as the “senior” resident reporting to the EM pharmacist preceptor. There will be either a PGY-1 resident or student assigned to the EM resident with the goal to develop a teaching style and gain experience as a preceptor.

Emergency Medicine Community

This emergency medicine pharmacy rotation at Overlook Medical Center Summit and Union campus is to provide the PGY-2 resident the opportunity to work as part of the interdisciplinary team in a community teaching hospital and a satellite Emergency Department. The 48-bed and 20-bed emergency departments for the Summit and Union campus respectively, services a wide range of patient populations from pediatrics to adults and specializes in neurological care including stroke management.  The purpose of this rotation is to allow the resident to further develop and enhance pharmacotherapeutic skills required for provision of care in emergent treatment of patients.  In addition, this rotation will focus on strengthening independence for the resident to manage all clinical and operational responsibilities.  

Emergency Medicine Infectious Disease

This month-long rotation will focus on the care of patients presenting to the ED with infectious complaints. Emphasis will be placed on designing appropriate empiric antimicrobial regimens based on most common pathogens and local susceptibility information. The EM resident will continue to be responsible for code response and will also focus on monitoring patients that are presenting as septic.

Emergency Medicine Overnight

The goal of this rotation is to provide experience with temporal differences when working in the Emergency Department. The resident will be prepared to manage time and schedule to better prepare for expansion in the Emergency Department workforce into this shift schedule.

Emergency Medicine Urgent Care

The focus of this rotation will be exposure to solidify learning on non-emergent conditions that may present to the emergency department. Topic discussions will reinforce knowledge about medical conditions that will most likely not require hospital admission but will require medication therapy.

Orientation/Resuscitation

During this first rotation encompassing the first two months of residency, the Emergency Medicine resident will become familiar with policies and procedures that govern medication utilization at Morristown Medical Center. While orienting to the hospital, a focus will be placed on response to emergency situations and workflow in the Emergency Department. This will prepare the resident for staffing in the Emergency Department.

Pediatric Intensive Care

This rotation is designed to provide residents with an understanding of disease states and conditions commonly seen in the pediatric intensive care unit. Emphasis will be placed on the therapeutic management of pediatric intensive care patients and the unique pharmacological/pharmaceutical requirements of these patients. This rotation will also provide an opportunity to participate in pediatric emergencies as well as in the management of enteral and parenteral nutrition.

Toxicology

This month-long learning experience is designed to build upon prior rotation experiences and develop new skills in toxicology through the care of toxicologic patients at the NJ Poison Control Center (PCC), bedside care at the Morristown Medical Center Emergency Department , and topic discussions. The resident will also be exposed to the role of the Poison Control Center in the healthcare and the community. Emphasis will be placed on physical exam and patient evaluation, pharmacodynamics and toxicokinetics, supportive care, and antidote therapy.

Trauma/Surgical Critical Care

Surgical Intensive Care Unit (SICU) rotation is a month-long learning experience at Morristown Medical Center. The SICU is a 22-bed unit for critically ill trauma and surgery patients. The multidisciplinary team consists of a trauma attending, surgical resident, emergency medicine resident, clinical pharmacy specialist, bedside nurse, and respiratory therapist. The resident will be exposed to a wide variety of disease states commonly encountered in the adult SICU setting and will become familiar with the pharmacokinetics/pharmacodynamics of the drugs used in this setting. Common disease states in which residents will be expected to gain proficiency through literature review, topic discussion, and/or direct patient care experience may include, but are not limited to traumatic brain injury/intracranial hemorrhage, surgical antimicrobial prophylaxis, surgical infectious complications, nutrition and fluid/electrolytes management.

Elective Rotations

Cardiology

The cardiology rotation is designed to give residents an opportunity to experience various cardiology settings from the outpatient clinic (heart failure) to critical care areas (CCU, CVICU, cardiothoracic ICU). Responsibilities of this rotation include, but are not limited to, daily attending rounds in the CCU, identification and resolution of any medication-related issues, evaluation of medical regimens for appropriateness and patient counseling.

Medical Intensive Care

This rotation emphasizes the understanding and management of problems specifically related to critically ill medical patients. Identification of patient problems and application of clinical therapeutics to the critically ill patient will be stressed. Specific topics discussed include hemodynamic and physiologic monitoring, pharmacokinetic monitoring and infectious problems in critically ill patients.  During the critical care rotation, residents will round with the medical team in a 10-bed MICU at Morristown Medical Center.

Transitions of Care

This acute care rotation will demonstrate the pharmacist’s impact on improving outcomes, reducing readmissions and improving patient quality of life. The resident will practice transitioning the patient to and from different settings for a core set of disease states, which will include, but not limited to cardiac, pulmonary, endocrine and infectious diseases. He or she will also have an opportunity to manage patients independently while working with physicians, nurses and other medical providers. Activities will include obtaining medication history, monitoring and optimization of therapy during hospital stays, reviewing medication reconciliation on discharge, assisting with access to medications, and providing patient education on medications and disease states.

Longitudinal Rotations

Emergency Medicine Pharmacy Practice

The staffing component of the residency is completed by staffing in the ED and practicing from the ED pharmacy satellite. The residents will gain proficiency in distribution skills, incorporation of clinical services and development of personnel management skills. They also will develop insight into the operations, policies and procedures of acute care facilities. Residents will be scheduled to staff every other weekend at Morristown Medical Center.

Pre-Hospital Medicine

In conjunction with Atlantic Mobile Health, the Emergency Medicine resident will participate in the treatment of patients by paramedics. The objective will be for the resident to become familiar with protocols and medication utilization in the pre-hospital environment.

Research

The Emergency Medicine resident will design, administer, and lead the research team to complete a project that will add to current literature on medication utilization in the Emergency Department. Research time will be assigned in December for time intensive tasks. A medication utilization or disease state review may also be completed during the residency year